“…28,136 At present, however, the question concerns not the choice of method but whether the measurement of plasma unconjugated or plasma total metanephrines represents the optimum biochemical approach for the diagnosis of phaeochromocytoma. 87,137,138 Plasma total metadrenalines have been determined after acid hydrolysis or enzymatic deconjugation with sulphatase to release sulphate-conjugated metabolites. 89,129,130,133 This produces plasma total concentrations some 20 -30-fold higher than free concentrations, thus making their estimation less technically demanding.…”